Evidence map›Paper›PMID 28559031›Full record

ArticleAnnals of emergency medicine2017

A Qualitative Analysis of Adolescent and Caregiver Acceptability of Universally Offered Gonorrhea and Chlamydia Screening in the Pediatric Emergency Department.

Jennifer L Reed, Brittany E Punches, Regina G Taylor, Maurizio Macaluso, Evaline A Alessandrini, Jessica A Kahn

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Annals of emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04120376 (An Emergency Department-Based Study to Reduce Adolescent Pregnancy), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04120376 nacompletednot on this mapstarted 2019, after this paper: background citation

An Emergency Department-Based Study to Reduce Adolescent Pregnancy

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2019 to 2021Enrolled144ConditionsPregnancy in Adolescence, Counseling, Contraception BehaviorArmsContraception Counseling
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Recommendation on screening for chlamydia and gonorrhea in primary care for individuals not known to be at high risk.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Facilitators to implementing preventive health interventions for adolescents in the emergency department: A multicenter qualitative analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  6. Article
  7. Article
  8. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  9. Article
  10. Unique Needs for the Implementation of Emergency Department Human Immunodeficiency Virus Screening in Adolescents.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020
    Article
  11. Information Technology-Assisted Screening for Gonorrhea and Chlamydia in a Pediatric Emergency Department.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020
    Article
  12. A Research Agenda for Emergency Medicine-based Adolescent Sexual and Reproductive Health.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019
    Article
  13. Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jennifer L ReedDivision of Emergency Medicine, University of Cincinnati Medical Center, Cincinnati, OH. Electronic address: jennifer.reed@cchmc.org.
Brittany E PunchesCincinnati Children's Hospital Medical Center and Department of Emergency Medicine, University of Cincinnati Medical Center, Cincinnati, OH.
Regina G TaylorDivision of Emergency Medicine, University of Cincinnati Medical Center, Cincinnati, OH.
Maurizio MacalusoDivision of Biostatistics and Epidemiology, University of Cincinnati Medical Center, Cincinnati, OH.
Evaline A AlessandriniDivision of Emergency Medicine, University of Cincinnati Medical Center, Cincinnati, OH; James M. Anderson Center for Health Systems Excellence, University of Cincinnati Medical Center, Cincinnati, OH.
Jessica A KahnDivision of Adolescent and Transition Medicine, University of Cincinnati Medical Center, Cincinnati, OH.
University of Cincinnati Medical Center · USUniversity of Cincinnati · USCincinnati Children's Hospital Medical Center · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Decreasing teen STI prevalence through universal emergency department screeningK23HD075751 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI REED, JENNIFER LYNN · 2014 to 2017
$557k
NCATS NIH HHS UL1 TR001425NICHD NIH HHS K23 HD075751
6 · The paper itself

Abstract

STUDY

objectiveWe qualitatively explore adolescent and parent or guardian attitudes about benefits and barriers to universally offered gonorrhea and chlamydia screening and modalities for assessing interest in screening in the pediatric emergency department (ED).

methodsA convenience sample of forty 14- to 21-year-olds and parents or guardians of adolescents presenting to an urban and community pediatric ED with any chief complaint participated in individual, semistructured, confidential interviews. Topics included support of universally offered gonorrhea and chlamydia screening, barriers and benefits to screening, and modalities for assessing interest in screening. Data were analyzed with framework analysis.

resultsAlmost all adolescents (37/40; 93%) and parents (39/40; 98%) support offering ED gonorrhea or chlamydia screening. Benefits included earlier diagnosis and treatment, convenience and transmission prevention (cited by both groups), and improved education and long-term health (cited by parents/guardians). Barriers included concerns about confidentiality and cost (cited by both groups), embarrassment (cited by adolescents), and nondisclosure to parents or guardians (cited by parents/guardians). Adolescents preferred that the request for gonorrhea or chlamydia screening be presented in a private room, using tablet technology. Both groups noted that the advantages to tablets included confidentiality and adolescents' familiarity with technology. Adolescents noted that tablet use would address concerns about bringing up gonorrhea or chlamydia screening with clinicians, whereas parents or guardians noted that tablets might increase screening incidence but expressed concern about the lack of personal interaction.

conclusionUniversally offered gonorrhea and chlamydia screening in a pediatric ED was acceptable to the adolescents and parents or guardians in this study. Offering a tablet-based method to assess interest in screening may increase participation.

Indexed as

Emergency Service, HospitalPatient Acceptance of Health CareAdolescentAttitude to HealthChlamydia InfectionsFemaleGonorrheaHumansMaleMass ScreeningParentsYoung Adult

Identifiers

PMID28559031
PMCPMC6894612
OpenAlexW2616943128

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.